Individual provider Active NPI

Bradley Lance Bufkin, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brandon, FL
National Provider Identifier
1821072299
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME102775 Issued in FL
Practice address
270 S Moon Ave
Brandon, FL 33511-5711
Phone
(813) 571-9988
Fax
(813) 571-9922
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME102775 FL Primary

Addresses

Primary practice location

270 S Moon Ave
Brandon, FL 33511-5711

Mailing address

6006 49TH St N
Suite 310
St Petersburg, FL 33709-2148
Phone (727) 527-9779

Other identifiers 1

IdentifierTypeStateIssuer
000429900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BRADLEY.BUFKIN@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081024000535 FL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 2264590983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

615 Vonderburg Dr
Brandon, FL 33511-5972
Phone (813) 571-9988

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Tampa, FL, CCN 683149
  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • HCA Florida South Shore Hospital Hospital, Sun City Center, FL, CCN 100259

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Cardiology Network, LLC CurrentSince Dec 15, 2013 Accepting new patients
Cardiology Consultants Past Accepting new patients
East Tennessee Cardiovascular Surgery Group, P.C Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

270 S Moon Ave
Brandon, FL 33511
Phone (813) 571-9988

615 Vonderburg Dr
Brandon, FL 33511
Phone (813) 421-4663

6006 49th St N
Ste 310
St Petersburg, FL 33709
Phone (727) 345-2929

6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
  • Direct secure messaging: bradley.bufkin@hca4.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1821072299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 49TH ST N",
            "address_2": "SUITE 310",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092148",
            "telephone_number": "727-527-9779",
            "fax_number": "727-522-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115711",
            "telephone_number": "813-571-9988",
            "fax_number": "813-571-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFKIN",
        "first_name": "BRADLEY",
        "middle_name": "LANCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME102775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000429900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRADLEY.BUFKIN@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "270 S Moon Ave",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.